Dental Implant Osteointegrated With The Residual Root

NCT ID: NCT06671678

Last Updated: 2024-11-04

Basic Information

• Recruitment Status: ACTIVE_NOT_RECRUITING
• Total Enrollment: 1 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2013-01-31
• Study Completion Date: 2025-10-31

Brief Summary

This case report presents the long-term prognosis of an implant resulting in late failure with an osteointegrated root remnant on the fixture 11 years after implant placement. A 68-year-old female patient experienced issues with a maxillary right 4-unit implant-supported bridge placed 11 years ago. During removal, an osteointegrated root remnant was discovered on the middle supporting implant, which had been inadvertently placed over it. Clinicians should be cautious with retained root remnants, as they may impact osteointegration. However, both the implant and root fragment were osteointegrated without adverse effects.

Detailed Description

There is a growing demand for implant dentistry as the first rehabilitation choice for treating patients with missing teeth. Clinicians can encounter asymptomatic retained root fragments in edentulous spaces. This case report presents the long-term prognosis of an implant resulting in late failure with an osteointegrated root remnant on the fixture 11 years after implant placement. A 68-year-old female patient presented to the clinic with complaints of function related to a maxillary right 4-unit implant-supported bridge 11 years after the first insertion of the implants. After removal of the restoration, a root remnant was observed as osteointegrated on the fixture of the middle supporting implant. The implant was placed encroaching upon the mesial part of the residual root fragment left unintentionally, which was discovered accidentally during bridge removal. Clinicians should show ultimate attention when utilizing the retained root remnants in implant sites considering the potential risk of hindering osteointegration. However, osteointegration of the encroached implant and root fragment is plausible, with no observed adverse effects. A risk-benefit evaluation should be assessed individually.

Conditions

Dental Implant Failed; Osteointegration; Dental Crowns

Study Design

• Observational Model Type: CASE_ONLY
• Study Time Perspective: RETROSPECTIVE

Eligibility Criteria

Inclusion Criteria

• Patient with dental implants placed in contact with residual roots

Exclusion Criteria

• Lack of retained root remnants
• Lack of dental implants

• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Ege University

OTHER

Sponsor Role: lead

Responsible Party

Esra UYGUÇ

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Esra Uyguç

Role: PRINCIPAL_INVESTIGATOR

Ege University Faculty of Dentistry Department of Prosthodontics

Locations

Ege University Faculty of Dentistry Department of Prosthodontics

Izmir, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

References

Uyguc E, Yaylaci E, Koyuncu B, Kumbuloglu O. Implant Osseointegration Adjacent to a Retained Root Fragment: A Case With 11-Year Follow-up. Case Rep Dent. 2025 Jul 20;2025:5547549. doi: 10.1155/crid/5547549. eCollection 2025.

Reference Type: DERIVED

PMID: 40726544 (View on PubMed)

Related Links

https://pubmed.ncbi.nlm.nih.gov/30986281/

Immediate Loading of Implants Inserted Through Impacted Teeth in the Esthetic Area: A Series of 10 Cases with up to 7 Years of Follow-up

https://pubmed.ncbi.nlm.nih.gov/34392937/

When should root remnants and unrestorable broken teeth be extracted in frail older adults?

http://www.ijcpd.org/journal/view.html?volume=15&number=4&spage=226&year=2019

Attachment of Residual Root onto Dental Implant: A Case Report with Literature Review

Other Identifiers

EGE-PRTZ-EU-001

Identifier Type: -

Identifier Source: org_study_id